Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa

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Coronary Artery Bypass Grafting in a Patient With Polyarteritis Nodosa Yoshitaka Yamamoto, MD, Kenji Iino, PhD, Hideyasu Ueda, MD, Hironari No, MD, Yoji Nishida, MD, Shintaro Takago, MD, Yoshiko Shintani, MD, Hiroki Kato, PhD, Keiichi Kimura, PhD, Hirofumi Takemura, PhD The Annals of Thoracic Surgery Volume 103, Issue 5, Pages e431-e433 (May 2017) DOI: 10.1016/j.athoracsur.2016.10.010 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Coronary angiography. (A) Severe stenotic lesion in the left anterior descending artery (arrow). (B) Diffuse occlusion in the posterior lateral branch (arrow). Aneurysm and ectasia are present in the left main trunk and bifurcation. (C) The right coronary artery was occluded. The Annals of Thoracic Surgery 2017 103, e431-e433DOI: (10.1016/j.athoracsur.2016.10.010) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Computed tomography. (A) The proximal part of the left internal thoracic artery was slightly stenotic (white arrowhead). (B) The middle part of the right internal thoracic artery was occluded (white arrow). (C) Aneurysm of bilateral renal arteries (white arrow). The Annals of Thoracic Surgery 2017 103, e431-e433DOI: (10.1016/j.athoracsur.2016.10.010) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Hematoxylin and eosin–stained section (×40) of the left internal thoracic artery showing elastic membranous fracture. (B) Close-up view (the part surrounded with square in panel A) of the hematoxylin and eosin–stained section (×100) of the left internal thoracic artery showing fibrinoid necrosis. The Annals of Thoracic Surgery 2017 103, e431-e433DOI: (10.1016/j.athoracsur.2016.10.010) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions